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Belarus has one of the worlds’ highest suicide rates (48.5 and 9.1/100,000 for men and women, respectively). The country's first suicide prevention project (2009–2013) focuses on educational courses for all physicians employed in primary health care (N = 120) in two regions of the county of Minsk (Total population: 73,663).
The aim of this paper was to investigate physicians’ knowledge with regard to suicide prevention as well as their experience of suicidal behavior based on findings from the pilot study.
45 physicians (mean age 43.6; 31 women, 14 men; 35% of all physicians) had participated in the first training courses, including two educational seminars (24 hours, 2009–2010). All participating physicians answered the questionnaire with 40 items distributed before the training courses.
The preliminary findings indicate that half of the participating doctors (N = 22) considered mental disorders as being the main risk factor for suicide and equally many defined suicide as an expression of “spiritual weakness”. 48% considered that asking patients about suicidal thoughts can stimulate the act. As many as 47% (21 physicians) had experienced a patients’ suicide during their professional practice (14 of them more than once). About half of the doctors (N = 24) have been confronted with a patient's suicide attempt and 20 participants (44%) experienced suicidal behavior of close friends and relatives. 17 (38%) and 2 doctors reported suicidal thoughts and suicide attempts ever in life, respectively.
Improved suicidological knowledge is badly needed, particularly in the light of the frequent confrontation with suicidal patients.
To evaluate and compare clinical characteristics of men and women who were admitted to psychiatric hospital after parasuicide.
Clinical examination, The Pierce Suicide Intent Scale, Beck Suicide Ideation Scale, Beck Hopelessness Scale, Beck Depression Inventory, The Symptom Checklist 90 Revised, Global Quality of Life Self - Rating Scale, The Barratt Impulsiveness Scale, The Toronto Alexithymia Scale.
Object of study:
Suicide attempters over 15 years admitted to the psychiatric hospital within one month after parasuicide (N=264; 114 – men and 149 – women).
Level of depression according to the Beck Depression inventory was higher in women (M=19,1; SD=13,1) than in men (M=12,9; SD=9) with ρ<0,001. The scores of general psychopathological state were higher in women (M=87,7; SD=68,1) than in men (M=69,1; SD=49,7), ρ<0,04. There were no statistical differences in the level of hopelessness according to Beck Hopelessness Scale, impulsivity according to The Barratt Impulsiveness Scale, alexithymia according to The Toronto Alexithymia Scale and perception of quality of life according to the Quality of Life Self- Rating Scale. There was no difference in the level of suicide ideation according to the Beck Suicide Ideation Scale and suicide intention according to The Pierce Suicide Intent Scale.
There weren’t considerable difference of parasuicide risk factors between men and women hospitalized because of mental disorders. At the same time women more often percept their psychological state as more severe.
Suicide notes are the only personal interpretation evidence of his action causes among all possible information sources about suicide.
To improve quality of suicide prevention by the mean of suicide notes analysis.
Objects of the study: 77 suicide notes of Belarusian citizens who had committed suicide and corresponding prosecutor's reports.
Evaluation of the formal visual characteristics of notes and demographic data, content analysis (note addressee, stated reason, manifested affect, dominant theme and direction of the charges).
The mean age of the sample was 43.8 years, 87% were male. 75% of the notes had specific addressee, 32.2% of them were directed to a spouse. In 55.8% of notes the main theme was “apology”, in 50.7% it was 'inability to stand the pain/illness “, but the main emotion displayed by half of cases was “guilt”. The vast majority of notes with the theme “charge” belonged to men (92.6%), 60% of these charges were directed to their wives. Women most frequently reported such reasons as “avoiding” (80%) and “self-punishment '(40%), men - a “protest/revenge” and “coercion”- in 32.8% and 23.9% respectively. Notes of women were characterized by higher volume, accuracy, consistency, and literacy. For persons aged 26–35 years the main causes of suicide were “protest/revenge” and “coercion”, and for those at the age of 66–75 years - “avoidance” and “rational denial'.
Age and gender tendencies of suicide causes should be considered in planning the suicide prevention strategies in different age groups.
Belarus has one of the worlds’ highest suicide rates (48.5/100000 men, 9.1/100000 women, 2008). The country's first suicide prevention project is carried out from 2009 to 2013 in two regions of the Minsk County (pop. 75,773) targeting on improving primary care physician's skills in diagnosing of depression and suicide risk assessment.
The aim of this paper was to investigate physician's attitudes changes towards work with suicidal patients through a training seminar and whether potential changes vary with the earlier experience of a patient's suicide.
90 physicians (60% of physician's stuff, 64.4% women) answered the questionnaire (40 items) before and after the 2 day courses (2009/2011) held by qualified psychiatrists. Chi-square test has been applied to investigate significance of pre/post differences.
Significant improvements regarding expectations, knowledge and collaboration for suicidal patients were noted after the training. Physicians more often perceived clarity in the organization of responsibilities for suicidal patients after the seminar than before (86% vs. 32%, p < 0.001). No improvements in the perceived possibility of preventing suicide were noted, still the vast majority (72%) considered suicide to be preventable before the seminar. There were no influence of patient's suicide experience (47% of the participants) on change in attitudes towards work with suicidal patients.
Job clarity and perceived knowledge were significantly improved through a 2-day educational training. No changes regarding the perceived possibility to prevent suicide were noted. Increased efforts to work with these issues are planned for the next round of training seminars.
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